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You Are Not Broken

352. Midlife Is Not a Medical Mystery - An Interview with Dr. Casperson

You Are Not Broken

Kelly Casperson, MD

Medicine, Health & Fitness

4.81.1K Ratings

🗓️ 4 January 2026

⏱️ 49 minutes

🧾️ Download transcript

Summary

This is the audio from an amazing webinar I did with Alloy Health. I was so fortunate to be interviewed by their community leader, Rachel Hughes. What I’m seeing clearly is that Gen X is leading the menopause conversation — we’re asking better questions, demanding better answers, and refusing to be dismissed. At the same time, Millennials are shifting the focus toward prevention, not just treating disease after it shows up. That mindset matters, and it’s changing healthcare. I talk a lot about why self-care isn’t indulgent — it’s essential if you want to thrive in midlife and beyond. That starts with education. You cannot make informed decisions about your body if no one ever taught you how hormones actually work. Hormones are not just reactive tools — they can be preventative, supporting long-term health when used thoughtfully and appropriately. Progesterone and testosterone play real, meaningful roles in women’s health, and vaginal estrogen is both safe and incredibly effective for many women — despite how rarely it’s discussed. We also have to talk about sex. Communication is foundational to a fulfilling sex life in midlife, and silence only benefits outdated narratives, not women. The bottom line? You have more control over your health than you’ve been led to believe. Empowerment doesn’t come from perfection — it comes from understanding your body and advocating for yourself in a system that often won’t do it for you. To my fellow clinicians: listen to the You Are Not Broken podcast on ⁠⁠Pinnacle's network to earn FREE CME credit⁠⁠ Listen to my Tedx Talk: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Why we need adult sex ed⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Take my Adult Sex Ed Master Class:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠My Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in my sexual health and hormone clinic? ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Waitlist is open⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Thanks to our sponsor ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Midi Women's Health⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Designed by midlife experts, delivered by experienced clinicians, covered by insurance.Midi is the first virtual care clinic made exclusively for women 40+. Evidence-based treatments. Personalized midlife care.⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.joinmidi.com⁠ Learn more about your ad choices. Visit podcastchoices.com/adchoices

Transcript

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0:00.0

Welcome to You Are Not Broken, the podcast that challenges everything we've been taught about midlife,

0:05.8

hormones, and sexuality. I'm Dr. Kelly Casperson, board certified jurologist, author, and a leading

0:11.3

voice in women's sexual and hormone health. Enjoy the show. Hello, everyone. Welcome, welcome.

0:18.0

I am Rachel. Excuse me, your host and community manager here at Alloy Health.

0:22.5

We are a digital health platform bringing evidence-based menopause solutions direct to your door.

0:28.1

And today, I am so pleased to welcome Dr. Kelly Casperson once again to the Alloy platform.

0:34.9

Dr. Casperson is a board certified urologic surgeon, CEO and founder of the

0:40.0

Casperson Clinic, a modern practice dedicated to hormones and sex medicine, renowned public

0:45.4

speaker, sex educator, author of You Are Not Broken, and host of the top ranked podcast by the

0:51.5

same name. Dr. Casperson is also author of the most recent,

0:55.9

holding it up for you, the men of Hossom. It's so pretty. Isn't it pretty? It's pretty.

1:02.1

I'm so pretty. Powering women. Dr. Casperson, once humor, candor and science to demystify

1:08.0

sexual health, intimacy, and midlife wellness. Welcome, Dr. Casperson. Before very

1:14.4

quickly we get into it, one housekeeping note, I want to invite you to drop your questions for Dr.

1:20.2

Casperson into the Q&A. I will facilitate those for you about midway to our discussion.

1:25.1

We're ending just shy of the hour.

1:28.3

Also, please be sure to take advantage of today's code, Casperson 20, over on the Alloy website.

1:33.8

Dr. Casperson, so good to see you.

1:36.4

Thank you for being here with us today.

1:39.6

I had opportunity recently to hear you speak, and you asked the audience, who do you want to be?

1:46.8

What will you do today for your future self? And I love that. And I felt so inspired by it.

1:53.0

And I hoped you could share sort of the meaning behind it with more people here today. And it is the

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